| 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 |