NPI | 1992746127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD13139) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DC 13139) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2018-12-14 |