| NPI | 1083748685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A85206) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA MD60134912) |
| 207R00000X Internal Medicine (Licence: CA A85206) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2018-10-29 |