| NPI | 1891726295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: WV 13029) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: KY 24827) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-09-05 |