| NPI | 1558369843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35043186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35 043186) |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: OH 35 043186) | |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2023-10-25 |