NPI | 1760644389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD14301) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD14301) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2012-02-29 |