| NPI | 1144275827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: SC 29226) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MA 215341) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-02-20 |