| NPI | 1003556291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME DO4340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME DO4340) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-08-18 |