| NPI | 1639114036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 14333) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH 14333) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01072219A) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2014-07-31 |