NPI | 1073508149 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 31539) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 31539) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2023-11-30 |