| NPI | 1396953105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A104707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT186653) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-04-26 |