NPI | 1144263146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MD D37458) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D0037458) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2012-01-04 |