| NPI | 1457575615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TX P0805) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX P0805) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: TX P0805) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2024-03-28 |