| NPI | 1225033095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 30143) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 30143) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CO 30143) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-11-10 |