| NPI | 1487708988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WI 25208-3781) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: WI 25208-3781) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-09-11 |