| NPI | 1720164536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A89530) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA MD00035775) |
| 208M00000X Hospitalist (Licence: WA MD00035775) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-05-19 |