| NPI | 1134246770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 2013038956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013038956) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2016-03-02 |