| NPI | 1003812595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX G2305) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: TX G2305) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2021-12-27 |