| NPI | 1083008908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX S4411) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX S4411) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2024-02-22 |