| NPI | 1346335783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 36117560) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2005001335) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MO 2005001335) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 36117560) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-07-26 |