| NPI | 1538699723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036-160946) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WI 73010-20) |
| 207R00000X Internal Medicine (Licence: MO 2017020344) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-08-27 |