NPI | 1699700146 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IL 036-075005) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036-075005) |
208000000X Pediatrics (Licence: IL 036-075005) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2022-03-22 |