NPI | 1447328711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 230907) |
Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: MA 230907) |
207K00000X Allergy & Immunology (Licence: MA 230907) | |
207R00000X Internal Medicine (Licence: MA 230907) | |
Enumeration Date | 2006-12-02 |
Last Update Date | 2022-07-28 |