| NPI | 1215988563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A69035) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A69035) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-07-22 |