| NPI | 1720085186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01038698A) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: IN 01038698A) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2019-12-02 |