| NPI | 1801828959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 9691) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KY 9691) |
| 207K00000X Allergy & Immunology (Licence: KY 9691) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: KY 9691) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: KY 9691) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |