NPI | 1285804674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 15975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 15975) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2020-12-15 |