NPI | 1871554006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 31825) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 31825) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2012-12-06 |