NPI | 1386031391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036.154446) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.154446) |
207R00000X Internal Medicine (Licence: TX S1388) | |
208000000X Pediatrics (Licence: TX S1388) | |
Enumeration Date | 2015-04-17 |
Last Update Date | 2022-11-21 |