| NPI | 1245270230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: AZ 17145) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: AZ 17145) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-05-12 |