NPI | 1922230101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 56208) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN MD53016) |
207R00000X Internal Medicine (Licence: IL 125055926) | |
207R00000X Internal Medicine (Licence: TN MD53016) | |
208000000X Pediatrics (Licence: IL 125055926) | |
208000000X Pediatrics (Licence: MN 56208) | |
208000000X Pediatrics (Licence: TN 53016) | |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TN 53016) | |
Enumeration Date | 2009-08-20 |
Last Update Date | 2022-07-21 |