NPI | 1275054082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036170004) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD474288) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2024-08-29 |