NPI | 1982816963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: HI 13783) |
Additional Taxonomies | 208000000X Pediatrics (Licence: HI 13783) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2023-08-10 |