| NPI | 1366652208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: TX N2294) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX N2294) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-01-09 |