| NPI | 1518260306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A115080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A115080) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2015-09-23 |