| NPI | 1962570481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NC 200000204) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NC 200000204) |
| 208M00000X Hospitalist (Licence: NC 200000204) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2024-05-29 |