| 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 |