| NPI | 1962822072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA OS022117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270447) |
| 208M00000X Hospitalist (Licence: MA 270447) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-12-19 |