NPI | 1740577378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME119185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301099351) |
Enumeration Date | 2011-07-04 |
Last Update Date | 2015-11-11 |