NPI | 1760570238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 228984) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 228984) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2015-02-23 |