| NPI | 1043742984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 304744) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304744) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-07-31 |