NPI | 1376581538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 3578) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 3578) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2016-04-22 |