| NPI | 1831134170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE C1-0003635) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: DE C-0003635) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: DE C1-0003635) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2022-07-21 |