| NPI | 1902882947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 53366) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: MA 53366) |
| 207R00000X Internal Medicine (Licence: MA 53366) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MA 53366) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-06-05 |