NPI | 1376819524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 34.014935) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: SC 40614) |
Enumeration Date | 2012-03-31 |
Last Update Date | 2023-06-02 |