| NPI | 1396972311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: ID M-15024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069478A) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2020-10-27 |