| NPI | 1235259136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A22493) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A22493) |
| 208600000X Surgery (Licence: CA A22493) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |