| NPI | 1437289725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD16984) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TN MD16984) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-02-07 |