| NPI | 1295311793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CA A191324) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A191324) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2026-07-23 |