| NPI | 1346434578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 036.118688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.118688) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-04-11 |