NPI | 1447360698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: OK 27943) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CA G32738) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-09-17 |