NPI | 1013020908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C027108) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C027108) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2010-03-15 |