NPI | 1073699724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA g31312) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 192217) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2007-07-08 |