NPI | 1326261462 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME97028) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME97028) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2019-06-24 |