| NPI | 1669785846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA 113598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 274793) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2015-12-28 |