| NPI | 1194787689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0050650) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DE CI0005689) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-03-12 |