| NPI | 1629099635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX J6232) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX J6232) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-09-28 |