| NPI | 1295952588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0102207181) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA OS014332) |
| 207R00000X Internal Medicine (Licence: VA 0102207181) | |
| 208000000X Pediatrics (Licence: VA 0102207181) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-02-09 |