NPI | 1043439730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OR MD206222) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD206222) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WA MD60221603) | |
207K00000X Allergy & Immunology (Licence: WA MD60221603) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2024-12-23 |