| NPI | 1144324716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MA 31591) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH 11592) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 31591) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2010-09-22 |