NPI | 1356438444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 144439) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 144439) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2023-06-29 |