| NPI | 1306064852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35.088065) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088065) |
| 208000000X Pediatrics (Licence: OH 35.088065) | |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2022-11-16 |