NPI | 1114973336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD13161) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD13161) |
Enumeration Date | 2006-05-26 |
Last Update Date | 2007-07-08 |