| NPI | 1740253517 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 022206) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 022206) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-10-15 |