| NPI | 1841225430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX U4125) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MN 72393) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KS 04-25391) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CO 29227) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-05-07 |