| NPI | 1538152335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 231902) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 231902) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 45064) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-10-23 |