NPI | 1629212527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NY 269216) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 269216) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2016-07-14 |