NPI | 1871825422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AK 7231) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME108651) |
Enumeration Date | 2010-02-08 |
Last Update Date | 2013-02-11 |