| NPI | 1548370521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: CA G7115) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: CA G7115) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-10 |