| NPI | 1174513089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 029420) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: GA 029420) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-07-15 |