| NPI | 1467412510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: VA 0101025325) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: DC MD3203) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2012-01-03 |