NPI | 1861456642 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 189581) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 189581) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2007-07-25 |