| NPI | 1013026699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX M8597) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TX M8597) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-02-13 |