NPI | 1912904038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA C10005662) |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA C10005662) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA C10005662) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2007-07-08 |