NPI | 1255315206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A73624) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A73624) |
Enumeration Date | 2005-12-02 |
Last Update Date | 2021-12-13 |