| NPI | 1437117637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX R3610) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 45727) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036111736) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-07-24 |