NPI | 1093782666 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36104800) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 36104800) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2021-12-17 |