NPI | 1972583656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 9400732) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9400732) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2022-07-21 |