| NPI | 1538399613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301095171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55742) |
| 207R00000X Internal Medicine (Licence: MI 4301095171) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-08-30 |