| NPI | 1205809241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD0354407E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD035407E) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2024-04-29 |