NPI | 1487630364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IL 036-084430) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036084430) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2021-12-14 |