| NPI | 1740778398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A174826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073224) |
| 207R00000X Internal Medicine (Licence: CA A174826) | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-04-21 |