| NPI | 1326015173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX L4382) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TX L4382) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NM MD2009-0308) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2015-07-01 |