NPI | 1326211889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NE 26735) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2007016065) |
207K00000X Allergy & Immunology (Licence: IA 40242) | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NE 26735) | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IA 40242) | |
Enumeration Date | 2008-04-04 |
Last Update Date | 2014-02-01 |