| NPI | 1942288071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101234741) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101234741) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-02-07 |