| NPI | 1215009782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 12103) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 67340) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD202126) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C175306) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ID 15963) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-01-29 |