| NPI | 1932468204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 53187) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: TN 53187) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2024-02-01 |