NPI | 1316935943 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IA 22111) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 22111) |
207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: IA 22111) | |
Enumeration Date | 2005-10-07 |
Last Update Date | 2007-11-28 |