| NPI | 1053613711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A115993) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A115993) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2023-09-05 |