NPI | 1538131818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2007-01042) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 01042) |
207R00000X Internal Medicine (Licence: VA 0101055588) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2007-01042) | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2023-10-03 |