| NPI | 1285201855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IA MD-52837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-52837) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2026-08-10 |