NPI | 1568440907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39797) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 39797) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2014-01-07 |