| NPI | 1194087312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0102203677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102203677) |
| 208D00000X General Practice (Licence: VA 0102203677) | |
| 208U00000X Clinical Pharmacology (Licence: VA 0102203677) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2024-02-07 |