| NPI | 1033170949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI 4301046162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301046162) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2008-01-18 |