| NPI | 1457476699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0086082) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MD474748) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101056551) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-08-13 |