| NPI | 1184668444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A21421) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A21421) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-11-21 |