| NPI | 1477526044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX Q2739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 43992) |
| 207R00000X Internal Medicine (Licence: IN 01056005A) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX 44727) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX 43992) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-03-07 |