| NPI | 1952434607 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A93075) | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A93075) | 
| 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A93075) | |
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2024-04-23 |