NPI | 1588772453 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 23918) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 23918) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2020-10-22 |