NPI | 1073547824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA a84894) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A84894) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA a84894) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2011-04-29 |