| NPI | 1831535210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: VA 0101265566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD176780) |
| 207R00000X Internal Medicine (Licence: VA 0101265566) | |
| 208M00000X Hospitalist (Licence: VA 0101265566) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-06-11 |