| NPI | 1093729972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: MO 2009029460) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: KY 39466) |
| 207R00000X Internal Medicine (Licence: KY 39466) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-10-26 |