NPI | 1932176526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: WI 43751) |
Additional Taxonomies | 208D00000X General Practice (Licence: WI 43751) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2017-10-16 |