| NPI | 1174545800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 4931720-1205) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 4931720-1205) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: UT 49317201205) | |
| 207K00000X Allergy & Immunology (Licence: UT 49317201205) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-11-01 |