| NPI | 1154436327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 5026) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 34004158) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MS 30819) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2022-12-14 |