| NPI | 1225254998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 52347) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 52347) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-06-15 |