| NPI | 1639691579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173800) |
| Additional Taxonomies | 207ZC0008X Pathology Clinical Informatics (Licence: CA A173800) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-13 |