NPI | 1679834097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 5101019989) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 5101019989) |
207R00000X Internal Medicine (Licence: MI 5101019989) | |
Enumeration Date | 2012-06-01 |
Last Update Date | 2022-03-09 |