| NPI | 1386609071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01064701A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088280) |
| 207R00000X Internal Medicine (Licence: CA A83728) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01064701A) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2023-03-07 |