| NPI | 1013934561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AL 27562) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MO 110710) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-02-01 |