| NPI | 1174938807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CO DR.0064618) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: DC DO034857) |
| 207R00000X Internal Medicine (Licence: AZ R2381) | |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2020-08-06 |