NPI | 1548217854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101027462) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: VA 0101027462) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2014-01-30 |