NPI | 1023071594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 46259) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 46259) |
Enumeration Date | 2006-04-07 |
Last Update Date | 2020-10-19 |