| NPI | 1851711972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD186966) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD186966) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2024-10-25 |