| NPI | 1114091410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 38643) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 38643) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-02-15 |