| NPI | 1669577540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CT 41531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 041531) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-11-15 |