NPI | 1942467071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D68964) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D68964) |
174400000X Specialist (Licence: MD 21244) | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2020-07-21 |