| NPI | 1063471126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 74380) |
| Additional Taxonomies | 1744R1102X Specialist, Research Study (Licence: MA 74380) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2013-06-05 |