NPI | 1780659573 |
---|---|
Former Name | GEORGE A MELONE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 0061314) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 32793) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2022-06-15 |