| NPI | 1114364247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OR MD189727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD189727) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-08-16 |