| NPI | 1396763702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01028106) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01028106) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-09-01 |