| NPI | 1548261738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 4301063911) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301063911) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MI 4301063911) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-12-28 |