NPI | 1013012772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 149046) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 149046) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2019-02-06 |