NPI | 1215039037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 140070) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 140070) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2020-03-27 |