NPI | 1831147669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 047951) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 047951) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2008-07-21 |