NPI | 1508832734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SD 4530) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 4530) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2015-12-01 |