NPI | 1467743443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 28620) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 28620) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2015-07-10 |