| NPI | 1154329951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: GA 023459) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 023459) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-08-05 |