NPI | 1447410220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 110703) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 63228) |
2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: GA 63228) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-14 |
Last Update Date | 2024-04-10 |