NPI | 1659348647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 015828) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: LA MD015828) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2025-06-02 |