| NPI | 1356677348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX P9193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034480) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2014-10-07 |