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 |