| NPI | 1427075464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME MD9881) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: ME 009881) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2015-02-25 |