NPI | 1881659076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D59189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D59189) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2014-01-31 |