| NPI | 1881682888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO DR.0059468) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 14739) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2018-09-06 |