| NPI | 1720076656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: AK MEDS6004) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AK MEDS6004) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2025-04-28 |