| NPI | 1619974896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 032857) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 032857) |
| 207K00000X Allergy & Immunology (Licence: CT 032857) | |
| Enumeration Date | 2005-07-04 |
| Last Update Date | 2024-04-24 |