| NPI | 1023082484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 27337) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01043380) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2021-05-26 |