| NPI | 1396733291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MD D55098) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: DC MD34049) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-10-23 |