| NPI | 1427475086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: VA 0101258869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101258869) |
| 207K00000X Allergy & Immunology (Licence: VA 0101258869) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2026-01-07 |