NPI | 1326197823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 174963) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 174963-1) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2016-02-04 |