| NPI | 1093212276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD472993) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: PA MD472993) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2021-06-14 |