NPI | 1821050428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: PA MD069237L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD069237L) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2022-03-18 |