| NPI | 1720132319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 49149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49149) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-11-10 |