NPI | 1457729386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 28878) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288748) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 288748) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-09-09 |
Last Update Date | 2022-10-06 |