| NPI | 1962457598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: ND 13206) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KS 04-31638) |
| 207R00000X Internal Medicine (Licence: KS 04-31638) | |
| 207K00000X Allergy & Immunology (Licence: ND 13206) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-12-23 |