| NPI | 1629546379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 261717) |
| Additional Taxonomies | 2083C0008X Preventive Medicine Clinical Informatics (Licence: NY 261717) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |