| NPI | 1285016493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OK 6877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7503) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: OK 6877) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-08-26 |