| NPI | 1760656193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SD 8090) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SD 8090) |
| 207R00000X Internal Medicine (Licence: SD 8090) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-04-19 |