| NPI | 1467958652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NH 32016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11019834A) |
| 208000000X Pediatrics (Licence: IN 11019834A) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-10-08 |