| NPI | 1649269614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA G046205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G046205) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-11-06 |