| NPI | 1225042674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A068959) |
| Additional Taxonomies | 207RA0201X Internal Medicine Allergy & Immunology (Licence: CA A068959) |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CA A068959) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-10-06 |