| NPI | 1285626374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 1549) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: AZ 1549) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2019-02-13 |