| NPI | 1184660821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME112011) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 174470-1) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 174470) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-10-27 |