| NPI | 1508929019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IN 01064063A) |
| Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: IN 01064063A) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-12-23 |