| NPI | 1447204219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 22770) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO R8B84) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |