| NPI | 1326036468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD036013E) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD036013E) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2014-10-07 |