| NPI | 1033108436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 11987) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL 11987) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-09-03 |