NPI | 1891956090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036045676) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IL 036045676) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2008-06-19 |