NPI | 1437308970 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD H0052419) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD H0052419) |
Enumeration Date | 2008-09-09 |
Last Update Date | 2014-08-24 |