| NPI | 1093758724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 031308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 031308) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 031308) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2024-04-29 |