| NPI | 1871819383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TN 65399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036132601) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2022-07-20 |