| NPI | 1295728038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: TX Q2516) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX Q2516) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: NM MD2006-0011) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-01-27 |