| NPI | 1336714963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IA DO-55605) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2023043514) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2026-07-03 |