NPI | 1669032355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD478681) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD478681) |
Enumeration Date | 2019-06-16 |
Last Update Date | 2024-08-22 |