NPI | 1801818273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A87622) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A87622) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2012-08-01 |