NPI | 1396795647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D45757) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D45757) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2022-09-01 |