NPI | 1457300915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35.084782) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35.084782) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2015-06-01 |