| NPI | 1144460171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX Q8992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A106557) |
| 208000000X Pediatrics (Licence: CA A106557) | |
| 207K00000X Allergy & Immunology (Licence: CA A106557) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2016-11-22 |