| NPI | 1356417919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 72337) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX S9977) |
| 174400000X Specialist (Licence: CO DR.0065508) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: CO DR.0065508) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2021-03-16 |