| NPI | 1285673715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MO R8A64) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036071548) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-05-11 |