| NPI | 1235251216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA A91732) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A91732) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CA A91732) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2021-12-15 |