| NPI | 1467913186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD479960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD479960) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD479960) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-09-08 |