NPI | 1497780563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G83540) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G83540) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2024-02-16 |