| NPI | 1235178377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TN MD034259) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA 57291) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TN 034259) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: GA 57291) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-04-07 |