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 |