| NPI | 1346365632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.092571) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: OH 070448) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-09-20 |