| NPI | 1184739765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 14801) |
| Additional Taxonomies | 173000000X Legal Medicine |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-10-21 |