NPI | 1003894890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2001-01403) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2001-01403) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2023-03-07 |