| NPI | 1558380808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93979) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME 93979) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-10-27 |