| NPI | 1669470753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G88220) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC 31377) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G88220) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2008-09-05 |