NPI | 1104926948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-13407) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD-13407) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2015-06-11 |