| NPI | 1871588806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD34525) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD34525) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-02-08 |