| NPI | 1063916567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA 20a21642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20a21642) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-11-22 |