| NPI | 1265632574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 336.135822) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: WI 53149) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2025-11-11 |