NPI | 1437117637 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX R3610) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 45727) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036111736) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2023-07-24 |