| NPI | 1043519333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME127439) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME127439) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2025-05-14 |