| NPI | 1396716668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101031324) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101031324) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101031324) | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2008-03-10 |