NPI | 1952336885 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080T0002X Pediatrics, Medical Toxicology (Licence: AZ 48735) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 48735) |
207RA0401X Internal Medicine, Addiction Medicine (Licence: AZ 48735) | |
208000000X Pediatrics (Licence: AZ 48735) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-11-19 |