| NPI | 1356366793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: SC MD87328) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA C28757) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-04-18 |