| NPI | 1326081266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 5101005364) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MI EL005364) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2024-04-27 |