| NPI | 1164636593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A95726) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A95726) |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: CA A95726) | |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: CA A95726) | |
| 208000000X Pediatrics (Licence: CA A95726) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-03-26 |