| NPI | 1912921818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: NV 17547) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy (Licence: CA A63307) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-02-21 |