| NPI | 1841295714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD D33458) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D0033458) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2013-01-31 |