| NPI | 1033184023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AK 2059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AK 2059) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-03-07 |