| NPI | 1861731564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: WA MD60820943) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101256697) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MI EMC0000515) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: IL 036.154106) | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2024-10-04 |