NPI | 1396729893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01049640A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01049640A) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2024-12-18 |