NPI | 1912136490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 22581) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MS 22581) |
Enumeration Date | 2009-07-06 |
Last Update Date | 2024-08-19 |