NPI | 1447252796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 206383) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 206383) |
Enumeration Date | 2005-06-01 |
Last Update Date | 2019-04-15 |