| NPI | 1346699667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A174425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-09000) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-07-19 |