| NPI | 1932345618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0019078) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0019078) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |