| NPI | 1013913409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OR MD09504) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA MD00019556) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: OR MD09504) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: OR MD09504) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: WA MD00019556) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: OR MD09504) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: WA MD00019556) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-08-22 |