| NPI | 1194798496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 35869) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: AZ 35869) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 35867) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2025-08-06 |