NPI | 1346265477 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 3121741205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 3121741205) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2025-09-11 |