NPI | 1861531287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 020231) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 020231) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2008-02-11 |