| NPI | 1659315570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D33273) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD M24338) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-06-25 |