NPI | 1346330925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023009164) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 43541) |
208000000X Pediatrics (Licence: CO 43541) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2023-03-20 |