NPI | 1699735100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM MD20040714) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD20040714) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2024-11-05 |