| NPI | 1225274368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ 012411) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 012411) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2026-10-06 |