NPI | 1518916972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL OS5550) |
Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: FL OS5550) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2019-07-08 |