| NPI | 1861470767 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: DE C1-0004987)  | 
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: DE C1-0004987)  | 
| Enumeration Date | 2006-01-03 | 
| Last Update Date | 2022-04-25 |