| NPI | 1336146224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS004868L) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA OS004868L) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-02-23 |