NPI | 1285745521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A24764) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A24764) |
207RI0200X Internal Medicine, Infectious Disease (Licence: CA A24764) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-07-15 |