NPI | 1639127525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME74498) |
Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: FL ME74498) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2022-03-04 |