NPI | 1932284817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A45020) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A45020) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2016-07-07 |