| NPI | 1326031519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME89910) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL me89910) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2024-09-09 |