| NPI | 1225124332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DC MD5252) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D003742) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-06-27 |