| NPI | 1114997814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 26872) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MS 23880) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: TN 26872) | |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: TN 26872) | |
| 207N00000X Dermatology (Licence: TN 26872) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: TN 26872) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TN 26872) | |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: TN 26872) | |
| 207Y00000X Otolaryngology (Licence: TN 26872) | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: TN 26872) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TN 26872) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-11-17 |