| NPI | 1700867215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO R6979) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MO R6979) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2012-09-28 |