| NPI | 1730239393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 21910) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: WI 21910-3541) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2025-04-21 |