NPI | 1083694475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0029247) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0029247) |
208000000X Pediatrics (Licence: DC MD13075) | |
Enumeration Date | 2006-01-20 |
Last Update Date | 2007-07-08 |