NPI | 1053375626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MA 229012) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01058053A) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2007-08-13 |