NPI | 1497755060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 37729) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 37729) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2021-03-15 |