| NPI | 1679591572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO 2000170148) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2000170148) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-04-25 |