| NPI | 1356529804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 51907) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.048079) |
| 208000000X Pediatrics (Licence: IL 125.048079) | |
| 208000000X Pediatrics (Licence: WI 51907) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2012-07-12 |