| NPI | 1437316817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM MD2012-0078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104671) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-01-17 |