| NPI | 1427580935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 2022-00056) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-00056) |
| 208M00000X Hospitalist (Licence: NC 2022-00056) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2024-08-14 |