| NPI | 1497082218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX U7377) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 33427) |
| 207R00000X Internal Medicine (Licence: IL 125056242) | |
| 207R00000X Internal Medicine (Licence: AL 33427) | |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2023-11-29 |