| NPI | 1780671883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01027437A) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: IN 01027437) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01027437A) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2009-12-17 |