NPI | 1932526514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A161893) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME124126) |
Enumeration Date | 2014-03-21 |
Last Update Date | 2021-07-22 |