| NPI | 1558310367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 38729) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD38729) |
| 207R00000X Internal Medicine (Licence: TN 38729) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2013-07-30 |