NPI | 1508853631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AL 14289) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.14289) |
208000000X Pediatrics (Licence: AL MD.14289) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2021-11-12 |