NPI | 1952364754 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME0062088) |
Additional Taxonomies | 174400000X Specialist (Licence: FL Me0062088) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2011-12-15 |