| NPI | 1497745962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 218750) |
| Additional Taxonomies | 2083C0008X Preventive Medicine Clinical Informatics (Licence: NY 218750) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 218750) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2021-07-08 |