NPI | 1942279633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A39509) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A39509) |
Enumeration Date | 2006-03-15 |
Last Update Date | 2022-07-21 |