| NPI | 1932303781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0071524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-01210) |
| 208M00000X Hospitalist (Licence: NC 2010-01210) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 142715) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2021-06-29 |