NPI | 1316915523 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 229069) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 229069) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2010-07-06 |