NPI | 1225229404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX N3519) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX BP1-0028907) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2025-01-06 |