| NPI | 1316033095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 9900806) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NC 99-00806) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-10-30 |