| NPI | 1851320451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A97870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD034451) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A97870) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-03-14 |