| NPI | 1508807751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: ME 2213) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OR DO126145) |
| 207K00000X Allergy & Immunology (Licence: WA OP60094489) | |
| 207K00000X Allergy & Immunology (Licence: ME DO2213) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: WA OP60094489) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: OR DO126145) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-05-03 |