NPI | 1144221763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA a72066) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A72066) |
Enumeration Date | 2005-08-04 |
Last Update Date | 2011-02-01 |