| NPI | 1437313905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX BP2-0040855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10031156) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2021-04-08 |