| NPI | 1457588642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35099929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35099929) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2023-07-19 |