| NPI | 1346450012 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: IA 38197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38197) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-07-07 |