NPI | 1427409721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 32515) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 32515) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2020-08-14 |