NPI | 1467643700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A102381) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102381) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2012-02-29 |