| NPI | 1871573550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IN 01072822A) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: IL 036093819) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-01-31 |