| NPI | 1215426499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD487977) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101276952) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2025-04-21 |