| NPI | 1265433445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OR MD28200) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA a75129) |
| 207R00000X Internal Medicine (Licence: OR MD28200) | |
| 207R00000X Internal Medicine (Licence: CA a75129) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2021-03-29 |