| NPI | 1639132483 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: PA MD033123E) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: PA md033123e) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2014-10-10 |