NPI | 1356363196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME98180) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME98180) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2016-05-05 |