NPI | 1700091998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 235108) |
Additional Taxonomies | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: MA 235108) |
207RG0300X Internal Medicine Geriatric Medicine (Licence: MA 235108) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2023-11-28 |