| NPI | 1609038355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: CA A115643) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002997) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-07-21 |