NPI | 1891010682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 51471) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TN 51471) |
207R00000X Internal Medicine (Licence: TN 51471) | |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: TN 51471) | |
208000000X Pediatrics (Licence: TN 51471) | |
Enumeration Date | 2010-04-05 |
Last Update Date | 2024-08-08 |