| NPI | 1598756025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 52918) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 52918) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 52918) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2025-09-11 |