| NPI | 1043262538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TN 29209) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 29209) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-06-29 |