NPI | 1760460810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 00027118) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-100600) |
Enumeration Date | 2006-01-08 |
Last Update Date | 2011-11-10 |