NPI | 1811960685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 026257) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CT 026257) |
Enumeration Date | 2006-02-10 |
Last Update Date | 2010-10-13 |