| NPI | 1386818375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 316212) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX P5947) |
| 207K00000X Allergy & Immunology (Licence: CA 155972) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2022-08-10 |