| NPI | 1891961835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A104136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A104136) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2015-06-23 |