NPI | 1093778821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01036920A) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01036920A) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2013-01-01 |