NPI | 1407871569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G57051) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA G57051) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-08 |