NPI | 1194706390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 023896) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD023896) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2011-05-31 |