NPI | 1205330685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A164647) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A164647) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-02-28 |