NPI | 1568043909 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036.173862) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077965) |
Enumeration Date | 2021-04-17 |
Last Update Date | 2025-06-11 |