| NPI | 1730306820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 45891) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 45891) |
| 207R00000X Internal Medicine (Licence: IN 01072222A) | |
| 207K00000X Allergy & Immunology (Licence: IN 01072222A) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2021-05-26 |