NPI | 1972726123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01062565A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35122280) |
207R00000X Internal Medicine (Licence: OH 35122280) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2024-08-15 |