NPI | 1083144596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301507934) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112414) |
207RG0300X Internal Medicine Geriatric Medicine (Licence: MI 4301112414) | |
Enumeration Date | 2017-06-16 |
Last Update Date | 2023-07-05 |