| NPI | 1861452567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301027068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301027068) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301027068) | |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2023-08-02 |