NPI | 1457980740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.43527) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.43527) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2024-05-29 |