| 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 |