| NPI | 1992239701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0102206139) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017583) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2022-03-04 |