| NPI | 1346690518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 010358) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: OH 34.014067) |
| 207R00000X Internal Medicine (Licence: MI 50101022350) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-11-30 |