NPI | 1326256827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 43302) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IN 01067849A) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2021-03-16 |