| NPI | 1164442950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 219640) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: NY 219640) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-04-07 |