| NPI | 1952796542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A184225) |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist (Licence: CA A184225) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA A184225) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-09-27 |