| NPI | 1598989758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AR E-7922) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7922) |
| 208000000X Pediatrics (Licence: AR E-7922) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-06-01 |