| NPI | 1174530414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 45678) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MN 49008) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-09-03 |