| NPI | 1518041623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD37136) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN MD37136) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TN MD37136) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD37136) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-03-31 |