NPI | 1013007301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NH 12317) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 12317) |
Enumeration Date | 2006-10-15 |
Last Update Date | 2013-03-22 |