| NPI | 1083022925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A149079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104681) |
| 207R00000X Internal Medicine (Licence: CA A149079) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2023-09-20 |