| NPI | 1457453805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 34-00-3921) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.003921) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2021-02-15 |