NPI | 1538278502 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD29810) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD29810) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-03-07 |