| NPI | 1306893334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA MD00014739) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WA MD00014739) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-02-13 |