| NPI | 1194928994 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MI EL085524) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085524) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2016-12-15 |