| NPI | 1386632172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO DR49051) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: CO DR49051) |
| 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: CO DR49051) | |
| 207R00000X Internal Medicine (Licence: CO DR49051) | |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: CO DR49051) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2025-08-18 |