| NPI | 1184798001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A-98901) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D0062093) |
| 207R00000X Internal Medicine (Licence: MD D0062093) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-02-12 |