| NPI | 1750795167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me142485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01081062A) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MI 4301104704) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2021-04-20 |