NPI | 1841216546 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301051893) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301051893) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2013-11-04 |