| NPI | 1043204548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 18715) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 18715) |
| 207K00000X Allergy & Immunology (Licence: IN 01027931A) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2021-05-26 |