NPI | 1386611051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX N7071) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 2336141) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2011-02-16 |