NPI | 1851520936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0071199) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0071199) |
Enumeration Date | 2009-07-09 |
Last Update Date | 2010-07-30 |