NPI | 1043226996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA MD065920L) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: PA MD065920L) |
208000000X Pediatrics (Licence: PA MD065920L) | |
208000000X Pediatrics (Licence: NJ 25MA06906100) | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NJ 25MA06906100) | |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: NJ 25MA06906100) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-04-15 |