| NPI | 1164583043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 57574) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101050097) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME138875) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01088782A) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2024-06-23 |