NPI | 1669400685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.006129) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.006129) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2021-12-27 |