| NPI | 1679568570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MO 105229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 105229) |
| 207P00000X Emergency Medicine (Licence: MO 105229) | |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2009-11-23 |