| NPI | 1356523799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 191791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D44817) |
| 207R00000X Internal Medicine (Licence: NY 191791) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D44817) | |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-01-10 |