| NPI | 1326028812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 35871) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AZ 57131) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MN 35871) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2023-04-03 |