NPI | 1306956586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD46000) |
Additional Taxonomies | 174400000X Specialist (Licence: TN 46000) |
208000000X Pediatrics (Licence: GA 053320) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2025-03-17 |