NPI | 1427343649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX bp10041721) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX bp10041721) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |