NPI | 1427153691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 529) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV 529) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2008-02-29 |