NPI | 1568806214 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX R7556) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047039) |
Enumeration Date | 2013-04-24 |
Last Update Date | 2021-10-06 |