| NPI | 1851553424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA 20A13876) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL OS11890) |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL OS11890) | |
| 208M00000X Hospitalist (Licence: FL OS11890) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-12-17 |