NPI | 1386641876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 98-424) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM 98-424) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2016-11-15 |