| NPI | 1528233723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 70088) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: GA 70088) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 70088) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 52384-20) | |
| 207R00000X Internal Medicine (Licence: WI 52384-20) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-02-03 |