| NPI | 1659304871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D32882) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0032882) |
| 207R00000X Internal Medicine (Licence: MD D0032882) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-03-15 |