| NPI | 1043216971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01063451A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 36658) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 36658) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01063451A) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2020-08-20 |