NPI | 1376689729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 2006006314) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006006314) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2018-12-27 |