NPI | 1356311005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 10970) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: AL 10970) |
207R00000X Internal Medicine (Licence: AL 10970) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 10970) | |
Enumeration Date | 2006-01-25 |
Last Update Date | 2023-03-07 |