| NPI | 1174724405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DC MD041442) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D75965) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-08-15 |