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 |