NPI | 1073774485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 432084194) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2010-09-16 |