| NPI | 1063677011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: GA 067490) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 067490) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2024-12-18 |