| NPI | 1598092330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A110001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A 110001) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2016-07-12 |