| NPI | 1023539848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: IA MD-51544) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-51544) |
| Enumeration Date | 2017-07-01 |
| Last Update Date | 2023-08-14 |