NPI | 1790722320 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A54916) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MA 209515) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2022-03-24 |