NPI | 1598734980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 87846) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR DO29118) |
207R00000X Internal Medicine (Licence: IA 02973) | |
207R00000X Internal Medicine (Licence: IL 036-088608) | |
208000000X Pediatrics (Licence: OR DO29118) | |
208000000X Pediatrics (Licence: IA 02973) | |
208000000X Pediatrics (Licence: MT 87846) | |
Enumeration Date | 2006-03-16 |
Last Update Date | 2024-04-05 |