| NPI | 1801054754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AL 29903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 29903) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2024-03-19 |