| NPI | 1588894026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 01076776A) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IA MD-41560) |
| 207R00000X Internal Medicine (Licence: NH 15207) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2016-06-21 |