NPI | 1164443651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 027253) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 027253) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2022-02-14 |