| NPI | 1396070819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 46497) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 46497) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2024-04-19 |