NPI | 1720113053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MO R3G15) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA G38741) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2014-06-26 |