| NPI | 1356416168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101285815) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-12260) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: TX U0443) | |
| 207R00000X Internal Medicine (Licence: TX U0443) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2026-04-10 |