| NPI | 1164426029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.065346) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35065346V) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2014-07-10 |