NPI | 1467453142 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD026439E) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD026439E) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD026439E) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2010-07-09 |