| NPI | 1326411232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 1020920) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E10045) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2025-07-30 |