NPI | 1871635243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A70516) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 9217) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |