NPI | 1942286331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35-04-6169) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: OH 35-04-6169) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2011-04-04 |