| NPI | 1881005437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX V4214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0083486) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2025-01-06 |