NPI | 1811095854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 47758) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 47758) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2010-08-17 |