| NPI | 1144235607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM 86-125) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NM 86-125) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-08-05 |