| NPI | 1528272432 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NJ MA078369) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: PA MD436687) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-01-02 |