NPI | 1497710545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A81614) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME146737) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K9475) | |
Enumeration Date | 2006-04-20 |
Last Update Date | 2024-05-01 |