| NPI | 1982652707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: ME 013825) |
| Additional Taxonomies | 174400000X Specialist (Licence: ME 013825) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-01-13 |