| NPI | 1497723845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 45113) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 45113) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 1967511) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2023-06-29 |