| NPI | 1407990823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0067245) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0067245) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MD D0067245) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-09-10 |