NPI | 1548353345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE 1989019189) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: DE C10000499) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2012-04-02 |