| NPI | 1043219959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL ME49655) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: FL ME49655) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2019-03-28 |