| NPI | 1235379207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A103242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A103242) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A103242) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2024-03-29 |