| NPI | 1063032167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0070624) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10070704) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2023-06-06 |