NPI | 1528021656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 21060) |
Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: KY 21060) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2020-06-05 |