| NPI | 1356304943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 60 197726) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: NY 197726) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2022-06-22 |