NPI | 1710411459 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME142488) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 83769) |
207P00000X Emergency Medicine (Licence: FL TRN25055) | |
207P00000X Emergency Medicine (Licence: CA 164790) | |
2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA 164790) | |
208D00000X General Practice (Licence: GA 83769) | |
208D00000X General Practice (Licence: CA 164790) | |
208D00000X General Practice (Licence: FL ME142488) | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2022-02-01 |