| NPI | 1134170962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IA 35646) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: WI 47416) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-01-12 |