| NPI | 1093916496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO DR.0052566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0052566) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-07-11 |