NPI | 1093568461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351053002) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351053002) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-06-21 |