| NPI | 1356312011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX Q6305) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036114428) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-12-22 |