| NPI | 1417901687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 1017528) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI MD11185) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-28 |