| NPI | 1932145422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101232936) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101232936) |
| 207P00000X Emergency Medicine (Licence: VA 0101232936) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2026-01-05 |