NPI | 1811004161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47268) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO 47268) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2020-01-30 |