NPI | 1417440587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MT214866) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT214866) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2020-06-26 |