NPI | 1699114017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0102204192) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204192) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2022-07-21 |