| NPI | 1316960263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA MD.017683) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 17683) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-09-06 |