| NPI | 1033470091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101263309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02643) |
| 207R00000X Internal Medicine (Licence: VA 0101263309) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-03-17 |