NPI | 1780670281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IN 01058214A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01058214A) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2019-12-30 |