NPI | 1639138449 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 32675) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MA 32675) |
207RI0200X Internal Medicine, Infectious Disease (Licence: MA 32675) | |
Enumeration Date | 2006-03-21 |
Last Update Date | 2012-02-02 |