NPI | 1538629159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS20283) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL OS20283) |
207R00000X Internal Medicine (Licence: FL OS20283) | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2023-08-04 |