NPI | 1417123498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 56305) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: AZ 67122) |
207KA0200X Allergy & Immunology, Allergy (Licence: MN 56305) | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2023-04-03 |