NPI | 1831142439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 35078434) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35078434) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2008-09-24 |