NPI | 1881638625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI KB050601) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI KB050601) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2012-03-13 |