NPI | 1215009782 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 12103) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 67340) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD202126) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C175306) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: ID 15963) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-01-29 |