NPI | 1427258854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 24278) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 24278) |
208000000X Pediatrics (Licence: WV 24278) | |
Enumeration Date | 2007-07-24 |
Last Update Date | 2022-02-16 |