| NPI | 1457328411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IN 02004046A) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036062659) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2023-10-16 |