NPI | 1174620595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 42544) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 42544) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2024-07-10 |