| NPI | 1447676127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CT 015004) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 015004) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |