NPI | 1891758231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C31704) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA C31704) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2007-09-12 |