| NPI | 1013007780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CO DR.0014378) |
| Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: CO 14378) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-11-15 |