NPI | 1427342906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX P5203) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041515) |
207R00000X Internal Medicine (Licence: TX P5203) | |
Enumeration Date | 2011-06-02 |
Last Update Date | 2020-11-20 |