| NPI | 1720079031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL DO571) |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: TX M3167) | |
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: AL DO571) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2023-01-26 |