| NPI | 1083724207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME0025848) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0025848) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-02-02 |