| NPI | 1326181249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NE 16946) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CO 23634) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-02-19 |