| NPI | 1659557957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A123558) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA a123558) |
| 207P00000X Emergency Medicine (Licence: NY 242193) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2025-09-15 |