| NPI | 1285046706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10306290-1204) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 007741) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ FC7864223) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT FC1083942) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10306290-8904) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2022-08-22 |