| NPI | 1881806875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: LA MD.203247) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: LA MD.203247) |
| 207R00000X Internal Medicine (Licence: LA MD.203247) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-09-13 |