NPI | 1003874124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A31444) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A31444) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2010-05-28 |