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 |