| NPI | 1235119389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: OR MD27098) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA MD00037650) |
| 208000000X Pediatrics (Licence: WA MD00037650) | |
| 208000000X Pediatrics (Licence: OR MD27098) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WA MD00037650) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OR MD27098) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2017-02-13 |