NPI | 1699208421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 68347) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 68347) |
Enumeration Date | 2017-04-08 |
Last Update Date | 2024-03-02 |