| NPI | 1932121142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101227521) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: VA 0101227521) |
| 207R00000X Internal Medicine (Licence: VA 0101227521) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: VA 0101227521) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-12-05 |