NPI | 1710942693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D47479) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D47479) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2012-10-02 |