| NPI | 1467516757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2006025323) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2006025323) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2026-01-08 |