NPI | 1497791784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 16401) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MS 16401) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2014-04-09 |