NPI | 1598926248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 48428) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 48428) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2018-06-28 |