| NPI | 1407951700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NV 21151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48534) |
| 207K00000X Allergy & Immunology (Licence: WI 48534) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-04-17 |