| NPI | 1134211998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX H0212) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX H0212) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2024-02-08 |