NPI | 1538126719 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J6337) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX j6337) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX j6337) | |
Enumeration Date | 2006-04-30 |
Last Update Date | 2016-05-22 |