NPI | 1437487485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2954) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX FTL 43006) |
207RG0300X Internal Medicine Geriatric Medicine (Licence: TX BP20034563) | |
Enumeration Date | 2009-12-03 |
Last Update Date | 2021-07-28 |