NPI | 1083118210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0093537) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0093537) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2022-06-21 |