| NPI | 1568754448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: AR E-1778) |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AR E-1778) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2014-11-12 |