| NPI | 1477508141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 216125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036070567) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036070567) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 216125) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2013-10-23 |