| NPI | 1598739500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD00025315) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL MD.25315) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-11-01 |