| NPI | 1245279090 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD017371) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 038252) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2023-04-10 |