| NPI | 1912951203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 40108) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 40108) |
| 208M00000X Hospitalist (Licence: WI 40108) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-09-08 |