NPI | 1134323363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX N2441) |
Additional Taxonomies | 174400000X Specialist (Licence: TX N2441) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2019-04-23 |