NPI | 1740778398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A174826) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073224) |
207R00000X Internal Medicine (Licence: CA A174826) | |
Enumeration Date | 2018-04-30 |
Last Update Date | 2023-04-21 |