NPI | 1740371871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 9501469) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0095-01469) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2014-02-14 |