| NPI | 1124224027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD436577) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD436577) |
| 207R00000X Internal Medicine (Licence: NY 238074) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2022-09-22 |