NPI | 1629430822 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: KY 57315) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: KY TP889) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: MO 2020015516) | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 2020015516) | |
Enumeration Date | 2016-03-26 |
Last Update Date | 2022-10-07 |