NPI | 1932193513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 149503) |
Additional Taxonomies | 174400000X Specialist (Licence: NY 149503) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2025-04-14 |