| NPI | 1699087296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096035) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: MI 4301096035) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-06-30 |