| NPI | 1265412696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE C1-0002282) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0002282) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |