| NPI | 1467629337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX N8461) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CO DR0063215) |
| 207K00000X Allergy & Immunology (Licence: FL ME142510) | |
| 207K00000X Allergy & Immunology (Licence: AZ 63352) | |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2023-06-07 |