| NPI | 1922531003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: UT 12605354-1204) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 12605354-1204) |
| 208M00000X Hospitalist (Licence: CA 20A16848) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2022-12-22 |