A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Geriatric Medicine | 207QG0300X |
| Family Medicine | 207Q00000X | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
* Indicates primary specialty
| NPI Number | 1780265363 |
| Credentials | DO (Doctor of Osteopathic) |
| Entity | Individual |
| Enumeration date | 04/15/2021 |
| Last updated | 06/20/2025 - About 12 months ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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