NPI | 1124027750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 134798) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 134798) |
208U00000X Clinical Pharmacology (Licence: NY 134798) | |
Enumeration Date | 2005-07-15 |
Last Update Date | 2020-01-10 |