| NPI | 1992798680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 105157) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME 105157) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME 105157) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2021-05-10 |