| NPI | 1356617427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D82367) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D82367) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2018-12-23 |