NPI | 1407813686 |
---|---|
Former Name | BRETT REED HENDEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 46559) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 46559) |
Enumeration Date | 2006-04-29 |
Last Update Date | 2011-12-07 |