| NPI | 1336235365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A34956) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A34956) |
| 207R00000X Internal Medicine (Licence: CA A34956) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-06-11 |