NPI | 1538144951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA07675400) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CO 15709) |
207KA0200X Allergy & Immunology, Allergy (Licence: WI 14911020) | |
207KA0200X Allergy & Immunology, Allergy (Licence: MN 42318) | |
Enumeration Date | 2005-12-08 |
Last Update Date | 2016-12-16 |