| NPI | 1073855169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: KY 49260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-00380) |
| 208000000X Pediatrics (Licence: IN 01087582A) | |
| 208000000X Pediatrics (Licence: OH 35.144618) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: IN 01087582A) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NC 2020-00380) | |
| 208000000X Pediatrics (Licence: KY 49260) | |
| 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35.144618) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2022-10-10 |