| NPI | 1588691125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: TX L0234) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX L0234) |
| 207KA0200X Allergy & Immunology Allergy (Licence: TX L0234) | |
| 207R00000X Internal Medicine (Licence: TX L0234) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-07-15 |