NPI | 1215919915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA a36505) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A36505) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2014-02-04 |