NPI | 1225275456 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MD D29940) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MD D29940) |
Enumeration Date | 2009-01-09 |
Last Update Date | 2009-01-09 |