NPI | 1962588053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME95484) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 95484) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2014-08-28 |