NPI | 1801871835 |
---|---|
Former Name | ANDY K SOMESAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME0079362) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AL 18847) |
208M00000X Hospitalist (Licence: FL ME79362) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2021-09-13 |