NPI | 1225009525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WV 14035) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 14035) |
Enumeration Date | 2006-01-27 |
Last Update Date | 2021-05-07 |