NPI | 1376527184 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 151476) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 151476) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2012-12-18 |