NPI | 1164468955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 8771272-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35084855) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2024-10-14 |