| NPI | 1609880863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KS 04-22633) |
| Additional Taxonomies | 174400000X Specialist (Licence: KS 04-22633) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-11-01 |