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 |