| NPI | 1184652224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 27628--20) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 27628-020) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 27628) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-11-17 |