NPI | 1386747632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM 94-53) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 94-53) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2016-05-20 |