| NPI | 1588687248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME88950) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME88950) |
| 207R00000X Internal Medicine (Licence: FL ME88950) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-10-28 |