| NPI | 1588653646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35079319) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35079319) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-10-11 |