| NPI | 1144674565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 58313) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 58131) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2020-10-15 |