| NPI | 1144547662 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD00036114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00036114) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |