| NPI | 1942235148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D48040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D48040) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-02-18 |