NPI | 1740444991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 260959) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 260959) |
208000000X Pediatrics (Licence: MA 260959) | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2023-06-19 |