NPI | 1871573550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01072822A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072822A) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036093819) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2025-05-05 |