NPI | 1760902936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE C1-0025525) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD MD048091) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-20 |
Last Update Date | 2023-06-29 |