| NPI | 1356488373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106452) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 93-00235) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NC 9300235) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-11-26 |