NPI | 1215926860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 35247) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 35247) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2013-01-02 |