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 |