NPI | 1760431233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.072107) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35.072107) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2020-04-10 |