NPI | 1417070376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME108810) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me108810) |
207R00000X Internal Medicine (Licence: MI 4301087752) | |
Enumeration Date | 2007-04-07 |
Last Update Date | 2024-09-02 |