NPI | 1205903994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A45617) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35-058968) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2016-06-07 |