| NPI | 1215920673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: CA G76901) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA G76901) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2024-12-02 |