| NPI | 1215145289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: WA OP00002306) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS013376) |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: PA OS013376) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: PA OS013376) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-12-07 |