| NPI | 1528016011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME78923) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME78923) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME78923) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |