| NPI | 1376606624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DC MD30725) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: DC MD30725) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-03-04 |