NPI | 1003071713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME133105) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 247405) |
207R00000X Internal Medicine (Licence: PR 12022R) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2021-03-30 |