NPI | 1851387724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 318518) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IN 01059883A) |
208000000X Pediatrics (Licence: IN 01059883A) | |
Enumeration Date | 2005-09-26 |
Last Update Date | 2025-01-10 |