NPI | 1639424948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NC 2022-00628) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-00628) |
Enumeration Date | 2012-07-23 |
Last Update Date | 2024-07-15 |