| NPI | 1225010523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NV 6303) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 6303) |
| 207R00000X Internal Medicine (Licence: NV 6303) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2015-01-29 |