NPI | 1598113391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP03738) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03738) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |