| NPI | 1912324070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS15497) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL OS15497) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-06-04 |