| NPI | 1457480055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TX L4312) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX L4312) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL OS 9346) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-11-21 |