NPI | 1801564505 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MD D0042768) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0042768) |
Enumeration Date | 2021-08-30 |
Last Update Date | 2021-08-30 |