NPI | 1285046706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10306290-1204) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 007741) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ FC7864223) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT FC1083942) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 10306290-8904) | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-08-22 |