| NPI | 1689661241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: RI MD06582) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: RI MD06582) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2015-08-07 |