| NPI | 1346287000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD421961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD421961) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-09-25 |