NPI | 1053318279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME0068257) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME0068257) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2019-05-24 |