| NPI | 1518022581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA g034732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA g034732) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-04-09 |