| NPI | 1740247873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO R9E05) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 04-22651) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-07-06 |