NPI | 1356564264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 0965190) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PR 0965190) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |