NPI | 1578090189 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A169863) |
Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A169863) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 228690) | |
Enumeration Date | 2017-05-12 |
Last Update Date | 2024-04-18 |