| NPI | 1184157216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 66537) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 66537) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CT 66537) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-06-27 |