| NPI | 1013127729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN 44683) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 44683) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-03-24 |