| NPI | 1144396334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME91504) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036126050) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-12-09 |