| NPI | 1497856827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A114875) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: HI MD-12488) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-02-15 |