| NPI | 1346298809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036116714) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME109459) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 228835) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-01-25 |