| NPI | 1851325237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX N4010) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD045240L) |
| 207R00000X Internal Medicine (Licence: PA MD045240L) | |
| 207K00000X Allergy & Immunology (Licence: PA MD045240L) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: PA MD045240L) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD045240L) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-03-18 |