NPI | 1629007216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 030726) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 030726) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2018-07-27 |