NPI | 1346535820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121523) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME121523) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME121523) | |
Enumeration Date | 2011-06-13 |
Last Update Date | 2021-07-20 |