| NPI | 1598760571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD030739E) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD030739E) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-07-30 |