NPI | 1568754448 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-1778) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: AR E-1778) |
Enumeration Date | 2011-05-10 |
Last Update Date | 2014-11-12 |