NPI | 1528220829 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: PA MD439955) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD439955) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2015-02-05 |