NPI | 1003349242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: AZ 64715) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R76009) |
207RA0201X Internal Medicine Allergy & Immunology (Licence: AZ R76009) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2022-06-27 |