| NPI | 1346324761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: UT 324239-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 23698) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2026-04-16 |