| NPI | 1265688162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A70409) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A70409) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2022-07-21 |