| NPI | 1356570758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A121364) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A121364) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2024-02-06 |