| NPI | 1821170234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: GA 009383) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 009383) |
| 207ND0900X Dermatology, Dermatopathology (Licence: GA 009383) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |