NPI | 1760683262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066848A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01066848A) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2024-02-09 |