| NPI | 1184701336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: KY 21563) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: KY 21563) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-06-29 |