NPI | 1558407981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD432871) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD432871) |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: DE C10010517) | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-11-21 |