| NPI | 1437115888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: TX L8548) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX L8548) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2022-02-09 |