NPI | 1881770741 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 258115) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 221951) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2019-04-04 |