NPI | 1942268156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NM 94250) |
Additional Taxonomies | 208D00000X General Practice (Licence: NM 94250) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2019-03-27 |