| NPI | 1477544344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D60557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0060557) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2015-09-02 |