| NPI | 1831628486 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301502514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301502514) |
| 208M00000X Hospitalist (Licence: MI 4301502514) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-08-15 |