| NPI | 1841306818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 265256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045812) |
| 207R00000X Internal Medicine (Licence: MA 265256) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 045812) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 265256) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CT 045812) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-02-18 |