| NPI | 1043257751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301076584) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301076584) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MI 4301076584) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-09-27 |