NPI | 1760469233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01044717A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01044717A) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2022-11-16 |