| NPI | 1427169986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 10030) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 10030) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: NV 10030) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-08-18 |