| NPI | 1215982368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WI 46985) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 4301105189) |
| 207R00000X Internal Medicine (Licence: WI 46985-20) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-10-10 |