| NPI | 1003052002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX N1697) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: TX N1697) |
| 207R00000X Internal Medicine (Licence: TX N1697) | |
| Enumeration Date | 2008-12-21 |
| Last Update Date | 2023-12-06 |