| NPI | 1891840625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 173523) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: MO 2007032912) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-11-30 |