NPI | 1023091402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX H0878) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H0878) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2022-07-21 |