NPI | 1972517423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A34367) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A34367) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2022-12-19 |