NPI | 1467685370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301065727) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301065727) |
Enumeration Date | 2009-08-25 |
Last Update Date | 2020-06-12 |