NPI | 1619926383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-096081) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036096081) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2021-04-26 |