NPI | 1427072891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D26835) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D26835) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2011-12-15 |