| NPI | 1063449288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 25074) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 105826) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |