NPI | 1912083106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301073354) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301073354) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2018-04-17 |