| NPI | 1225497738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NE 1720) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 1720) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2023-08-09 |