NPI | 1073583167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: SC 16812) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: SC 16812) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2017-12-04 |