NPI | 1255471488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301081641) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301081641) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2023-11-27 |