NPI | 1841312907 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 62127) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 62127) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2019-01-08 |