NPI | 1447279914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 26043) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OK 2345) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2007-07-08 |