NPI | 1942663166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A152391) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152391) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2022-01-06 |