| NPI | 1295761351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 9801693) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC D0893) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-02-13 |