NPI | 1124035076 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA 36097) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA G36097) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2016-07-18 |