NPI | 1649233792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01048480A) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01048480A) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |