| NPI | 1871590984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OK 20372) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 20372) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-10-12 |