| NPI | 1336364793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 67624) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44948) |
| 207K00000X Allergy & Immunology (Licence: TN 44948) | |
| 207R00000X Internal Medicine (Licence: GA 67624) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-05-20 |