| NPI | 1710928999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A71003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A71003) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-12-13 |