NPI | 1831356401 |
---|---|
Former Name | IRENE ATEF JACOUB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35121793) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35121793) |
208000000X Pediatrics (Licence: OH 35121793) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2022-02-15 |