NPI | 1043279516 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 25039) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 25039) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2020-03-09 |