NPI | 1407016348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 46987) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125054682) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2019-07-02 |