| NPI | 1285847053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD437876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188546) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-09-26 |